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General NPI Number Information
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NPI Number | 1336051754
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Entity Type | Organization
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Legal Business Name | PHELPS PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1028 OLD CEDAR BLUFF RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-2283
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Country | US
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Telephone | 865-219-3551
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Fax |
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Provider Business Mailing Address
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Address Line | 103 RED SPRUCE CIR
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City | LENOIR CITY
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State | TN
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Zip | 37771-2052
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Country | US
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Telephone | 865-219-3551
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | BRANDI M PHELPS
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Credential | DPT
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Telephone | 865-219-3551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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